Speaking Loud or Speaking with Intent?

By Kaila McCarthy


In previous posts we have discussed the LSVT Loud program and the Speak Out! program. Today we are going to break down the difference between the 2 program so you can find the one that is the best fit for you.


LSVT Loud is a 4 week program, meeting 4 days a week of an hour for individualized speech therapy. The therapy is simple, but effective, meaning that even those with cognitive impairments can have great outcomes. LSVT’s Loud for Life is a group exercise class, which can help you maintain the gains you made in therapy. You can check out our group Monday's at 11 am.


In comparison, Speak Out! individual treatment sessions can be completed in 45 min (vs. the 60 min sessions in LSVT), and are only held 2-3 times a week, for a total of 9-12 tx sessions. By focusing on moving from automatic speech to speaking with intention, this program has also demonstrated improvements across the speech system. However, this concept may be slightly harder to grasp compared to LSVT’s focus on simply speaking louder. A benefit of Speak Out! is that it targets cognition as part of the treatment protocol, which LSVT does not directly do (although trained LSVT clinicians are encouraged to incorporate cognitive tasks when possible). In addition, they designed their voice exercises to reduce vocal strain or other unhealthy vocal behaviors. If you are someone who has significant changes to your vocal quality, Speak Out! may be a better option.

LSVT and Speak Out! Are both excellent treatment programs.


At the end of the day, it is most important that you get appropriate treatment specific for PD, regardless of which one. Although the protocols are structured, and appear to be easy to complete, you should never try to do them on your own without the expertise of a qualified SLP. LSVT has been around longer, so has much more research supporting it’s effectiveness. However, Speak Out! also has good research outcomes, and I expect more in the future.


20 views

Recent Posts

See All

The Gut Brain Highway

As we talked about in the previous blog post, certain foods have been correlated with a quicker progression of PD. You may be wondering how what you eat can impact what is going on in your brain. The

Home safety checklist

Many individuals with Parkinson’s Disease experience a fall if not recurrent falls. In one study, those with PD reported 60.5% had experienced one fall and 39% had experienced multiple falls. Many o

Contact us 

email: info@brainbodybetter.com

  • YouTube
  • Facebook
  • Instagram

NOT MEDICAL ADVICE DISCLAIMER:  None of the content on this website constitutes medical advice.  If you have concerns about any medical condition, diagnosis, or treatment, you should consult with a licensed healthcare provider.  In case of medical emergency, you should call 911 immediately.

NO PROVIDER-PATIENT RELATIONSHIP: This website does not create or constitute a provider-patient relationship between you and any of our providers and does not create any duty for any provider to follow up with you.